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Cape Coral Hospital: what a joint replacement costs

Cape Coral, FL 33990 · CMS Certification Number 100244. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,687
Cape Coral Surgery Center, 3.7 mi
Outpatient here
$11,822
123 Medicare cases, APC 5115
Inpatient here
$13,823
35 Medicare stays, MS-DRG 470

Medicare prices at Cape Coral Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,823$116,2568.4×$11,822
Shoulder replacement———$16,845
Hip replacement after a fracture (DRG 522)$16,093$112,1487.0×—

Quality

Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 8%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 303 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Cape Coral Hospital for a knee or hip replacement?

In 2024 Medicare paid Cape Coral Hospital an average of $13,823 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,822 per outpatient case (APC 5115, 123 cases).

What is Cape Coral Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,256, 8.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Cape Coral Hospital?

Yes for Medicare facility payments. Cape Coral Surgery Center, an orthopedic surgery center 3.7 mi away, is paid about $8,687 by Medicare for a knee replacement (CPT 27447), $5,136 less than an inpatient stay at Cape Coral Hospital. Not every patient is a surgery-center candidate.

How does Cape Coral Hospital compare with other Florida hospitals?

Medicare paid Cape Coral Hospital less than 73% of the 88 Florida hospitals that report inpatient hip or knee replacement.